﻿<html>
<head>
<link rel="Shortcut Icon" href="kt.ico" type="image/x-icon" />
<style type="text/css">
h2
{
color: 0066CC;
}
</style>
<script language="javascript" type="text/javascript" src="java.js"></script>
</head>
<body>
<table style="text-align: center; margin-left: 5%; margin-top: 50px; width: 90%; height: auto;" border="2" cellpadding="2" cellspacing="2">
  <tbody>
 <tr>
<td style="width: 600px; height: 300px;" align="undefined" valign="undefined">
<img src= images\f.jpg height=100 width=50 />&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<img src= images\i.jpg height=100 width=50 />&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<img src= images\t.jpg height=100 width=50 />&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<img src= images\h.jpg height=100 width=50 />&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<img src= images\o.jpg height=100 width=50 />&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<img src= images\u.jpg height=100 width=50 />
<br>
<FORM METHOD="POST">
<p align= right>
<fieldset>

<legend><h2>Gửi góp ý  ! </h2></legend>
&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;
&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;
&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;
Tắt<input type="radio" name="search" value="tên truyện" /> &nbsp;
Telex<input type="radio" name="search" value="tên tác giả" />  &nbsp;
Vni<input type="radio" name="search" value="tên tác giả" /> 
</p>
Chủ đề&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<select style="width: 335px" name="Select1">
	<OPTION VALUE="0" SELECTED>Vui lòng chọn 1 chủ đề để phản hồi
<OPTION VALUE="1">Báo lỗi
<OPTION VALUE="2">Góp ý nội dung
<OPTION VALUE="3">Yêu cầu chức năng
<OPTION VALUE="4">Khác
	</select>
	<br />
Tên bạn:&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<INPUT TYPE="TEXT" size=50 /> *<BR>
Email:&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;
<INPUT id="email"  type="textbox" size=50 /> *<BR>
<P>Mã xác nhận:&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<INPUT TYPE="TEXT" size=8 value="X N 3 9 R C"/>&nbsp;
<a href="#"><img src= images\xn.jpg height=22 width=22></a>
&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;
&nbsp; &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<INPUT TYPE="TEXT" size=8 /> *<br><br>
Góp ý của bạn:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<TEXTAREA COLS="39" ROWS="3" NAME="nx"></textarea> *<BR>


<img src= images\gmail.jpg height=18 width=18>
&nbsp;&nbsp;
<img src= images\ym.jpg height=18 width=19>
&nbsp;&nbsp;
<img src= images\facebook.jpg height=18 width=18>
&nbsp;&nbsp;
<img src= images\twitter.jpg height=18 width=18>
&nbsp;&nbsp;
<img src= images\zing.jpg height=18 width=18>
&nbsp;&nbsp;
<img src= images\rss.jpg height=18 width=18>
</P>
<br>
<input type="submit" value="   gửi đi   " onclick="check()"/>&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;
<input type="reset" value="Reset"/>
</fieldset>
</form>
</td>
</tr>
</tbody>
</table>
</body>
</html>